Provider Demographics
NPI:1194062760
Name:BYTHWOOD, ADRIAN TODD (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:TODD
Last Name:BYTHWOOD
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 EGYPT RD
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2105
Mailing Address - Country:US
Mailing Address - Phone:610-666-0512
Mailing Address - Fax:
Practice Address - Street 1:2801 EGYPT RD
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:PA
Practice Address - Zip Code:19403-2105
Practice Address - Country:US
Practice Address - Phone:610-666-0512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH020023183500000X
PARP450383183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist